| NPI | 1710089578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G78707) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MD00030499) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2021-10-28 |